Our Team

Jennifer Sydnam, RT(R), RDMS, RVT


I moved to Alaska in 2002 seeking outdoor adventure and I fell in love with this great state. I am a wife, a mother of three and a cancer survivor.  Through these experiences, I understand the importance of an accurate and timely diagnosis. I strive to provide the highest standard of care to my patients with compassion and understanding. I feel very fortunate to have been given the opportunity to truly impact people’s lives through ultrasound.

Alex Chastagner


I was born and raised in the great state of Alaska. I attended ultrasound school in Anaheim, California and I'm excited to be back in Alaska working at Real Time, Inc.  Some of my favorite pastimes include spending time with friends, drinking large quantities of decaf coffee, and playing late night volleyball. I enjoy going on mission trips to South America and getting involved with community outreach programs.  Along with my love of aiding in the care of your little one, it is important to me to provide accurate, diagnostic ultrasounds that help patients find wholeness in their health journey.

Alicia Estrada

Office Manager

I have lived in Alaska since the age of 8 when my family relocated from Florida with the military. I have been married for 17 years and have 4 very enthusiastic children.  My career in the medical field began in 2000 when I accepted a position in medical collections.  In 2008 I made the transition to imaging scheduler and receptionist and knew I had found a new passion.  I enjoy being a part of a patient’s journey to better health, finding a diagnosis or becoming a mother.  I am active in the community and also enjoy gardening, tropical vacations, cheering on my children in sports and riding our RZR with family.  I enjoy connecting with providers and their office staff to ensure timeliness of care for their patients and clients.

Emily Niclas

Front Desk Administrator

I was born in Canada and moved to Alaska in 2001.  I love spending time outdoors with my children and enjoying everything Alaska has to offer.  The care I received during my last pregnancy at Real Time, made a lasting impression on me. I realized that I could utilize my experience in taking care of others the way they took care of me. I look forward to being able to answer any questions you may have, and assist in the scheduling, check-in and paperwork aspects of your visit.

David H. Berns, M.D.


President & CEO Neuroradiologist & Vascular Specialist – Cleveland, Ohio

Dr. Berns is the founder of NDI and co-founder of PACS company Perfect Imaging. He is a well-respected authority on MRI and Neuroradiology. Prior to founding NDI, Dr. Berns established a strong reputation in the Midwest as President of Drs. Hill & Thomas radiology practice. He has nearly twenty years of experience in Neuroradiology practicing in hospitals and outpatient centers along with a successful portfolio of development of imaging centers and clinic-based radiology projects. Dr. Berns is also skilled in assessing the vascular system, including the peripheral arterial system, having read thousands of MRA studies while consulting with vascular surgeons and internists.


University Hospitals
Cleveland, Ohio
Fellowship Neuroradiology

Mt. Sinai Medical Center
Cleveland, Ohio
Residency, Diagnostic Radiology

Case Western Reserve University Medical School
Cleveland, Ohio
Degree: M.D.

Concetta Giuliano, DO


Dr. Concetta Giuliano is a diagnostic radiologist with over 18 years of experience.  She received her doctorate of osteopathy at Pennsylvania College of Osteopathic Medicine and her bachelor of science in molecular biology from Chestnut Hill College. 

After completing her residency in diagnostic radiology at The University of Pennsylvania, she moved to Florida and opened a diagnostic outpatient facility.  Currently she is predominantly working as a tele radiologist within multiple states.

Her modalities skills include: MRI applications in orthopedics, neurology, body imaging and 3D vibrant breast imaging with CAD; spiral/helical CT cervical diagnostic ultrasound; digital mammography in 3 tomosynthesis; and DEXA. 

While in private practice she was a clinical faculty member of the family practice residency program at Florida Hospital and received “Outstanding Educator of the year award (2005, 2014),” in addition to being Assistant Professor of radiology and surgery at Nova Southeastern College (2001-2014). 


Dr. Giuliano is also MQSA certified and served as director at women’s imaging for several years.